Puerperal Sepsis
Uganda2023

Diagnosis and treatment protocols for Puerperal Sepsis in Uganda

Uganda Clinical Guidelines 2023 · all from source →

Pregnant Women

Treatment

1.

Diagnosis

Fever >38°C, chills, lower abdominal pain, foul-smelling lochia, and uterine tenderness.

2.

Emergency Management

Insert IV line and give fluids rapidly. Give IV Ampicillin 2 g every 6 hours + Gentamicin 5 mg/kg IV every 24 hours + Metronidazole 500 mg IV every 8 hours.

3.

Referral

Refer urgently to hospital. Puerperal fever carries high mortality risk.